Military Family Foundations: Adapting an Evidence-based Family Prevention Program

军人家庭基金会：采用循证家庭预防计划

• 批准号: 8682891
• 负责人: MARK Ethan FEINBERG
• 金额: $ 18.1万
• 依托单位: PENNSYLVANIA STATE UNIVERSITY, THE
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-01 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8682891
• 关键词: 3 year old; Address; Age; Alcohol or Other Drugs use; Attitude; Behavior Control; Child; Child Abuse; Child Mental Health; Child Rearing; Communication; Couples; Data; Decision Making; Development; Educational Curriculum; Emotional; Evidence based program; Family; Feasibility Studies; Feedback; First Births; Foundations; Frustration; Future; Health behavior; Home environment; Human Resources; Infant; Informal Social Control; Intervention; Joints; Life; Life Style; Measures; Mental Depression; Mental Health; Methods; Military Personnel; Morbidity - disease rate; Online Systems; Outcome; Parenting behavior; Parents; Participant; Pattern; Personal Satisfaction; Physical aggression; Pilot Projects; Population; Prevention program; Problem Solving; Provider; Psyche structure; Randomized; Recruitment Activity; Reporting; Research; Research Personnel; Risk; Role; Self Efficacy; Series; Services; Soldier; Spouses; Staging; Stress; Telephone Interviews; Time; United States National Institutes of Health; Violence; Vision; Work; base; behavioral health; combat; dosage; evidence base; experience; flexibility; meetings; member; mortality; parental influence; programs; public health relevance; randomized trial; resilience; satisfaction; skills; stress management; stressor; uptake

DESCRIPTION (provided by applicant): To enhance the well-being and resilience of Reserve and National Guard families, we propose to adapt a civilian evidence-based, family-strengthening program, Family Foundations (FF), and assess the feasibility of implementing it with Reserve and Guard families. The program's focus on the transition to parenthood period-and its documented effects with civilian families through at least child age three years-is well-suited to address the needs among reserve and guard families with young children. At the core of FF is recognition of the crucial role of positive coparenting support for facilitating the emotional, mental, and behavioral health of parents and children. Positive coparenting cooperation and support may serve as a leverage point to enhance the flexibility, capacity for family adaptation, and joint decision-making central to military family resilience. Research indicates that positive coparenting promotes parental self-efficacy, reduces parental stress and depression, and has positive influence on parenting quality. The program's focus on coparenting skills is supplemented by promotion of parent stress management, self-regulation, and behavioral control. These capacities enable parents to manage frustrations with reduced emotional reactivity, resulting in increased problem-solving and positive communication. Aim 1. We will adapt the existing FF curriculum for civilian families to meet the needs of R/NG families (in line with PA-11-202). First, we will develop a version that incorporates values, themes, and issues relevant to military families. Second, based on our existing work developing a DVD/workbook version of FF and interactive web-based materials for parents of infants, we will develop the adapted program as an interactive, online program that families can access on their own at home. Aim 2. We will conduct a pilot study of the program with couples to assess technical feasibility, engagement, user satisfaction, and efficacy. 120 R/NG couples expecting a child will be recruited and randomized to intervention or control conditions. We will measure parent engagement based on utilization data, and ask parents to report on whether the program is perceived as engaging, relevant, and helpful. We will administer pre-/posttest telephone interviews with participants to provide estimates of effects sizes on parent adjustment, coparenting, and parenting. We will conduct exploratory analyses of whether dosage (program usage) predicts outcomes, and whether program impact is moderated by sociodemographic factors.

描述（由申请人提供）：为了提高储备和国民警卫队家庭的福祉和复原力，我们建议调整一个以民间证据为基础的家庭强化计划，家庭基金会（FF），并评估与储备和警卫队家庭实施的可行性。该计划的重点是过渡到父母的时期，其记录的影响与平民家庭通过至少三岁的孩子，是非常适合解决的需求，储备和警卫家庭与年幼的孩子。FF的核心是认识到积极的共同育儿支持对促进父母和子女的情感，心理和行为健康的关键作用。积极的共育合作和支持可以作为一个杠杆点，以提高灵活性，家庭适应能力，和共同决策中央军事家庭的韧性。研究表明，积极的共同养育能提高父母的自我效能感，减轻父母的压力和抑郁，对父母养育质量有积极的影响。该方案的重点是共同养育技能，并辅之以促进父母压力管理、自我调节和行为控制。这些能力使父母能够在减少情绪反应的情况下管理挫折，从而增加解决问题和积极沟通的机会。 目标1.我们将调整现有的FF课程为平民家庭，以满足R/NG家庭的需求（符合PA-11-202）。首先，我们将开发一个包含与军人家庭相关的价值观、主题和问题的版本。第二，基于我们现有的工作，开发了一个DVD/工作簿版本的FF和互动的基于网络的材料，为婴儿的父母，我们将开发改编的程序作为一个互动的，在线程序，家庭可以访问自己在家里。目标2.我们将对该计划进行试点研究，以评估技术可行性，参与度，用户满意度和有效性。将招募120对期待孩子的R/NG夫妇，并随机分配至干预或对照条件。我们将根据利用率数据衡量家长参与度，并要求家长报告该计划是否被认为是有吸引力的，相关的和有帮助的。我们将管理前/后测试的电话采访参与者提供估计的影响大小对父母的调整，coparenting，和养育。我们将进行探索性分析，以确定剂量（程序使用）是否能预测结果，以及程序的影响是否受社会人口因素的调节。